肺超声评分对间质性肺疾病患者肺部受累程度的评估价值及相关性分析  

The evaluation value and correlation analysis of pulmonary ultrasound score on the degree of pulmonary involvement in patients with interstitial lung disease

作　　者：李秀婷 乔志忠[1] 李秀兰 LI Xiu-ting;QIAO Zhi-zhong;LI Xiu-lan(Department of Ultrasound,Affiliated Hospital of Qinghai University,Xining 810001,Qinghai,China)

机构地区：[1]青海大学附属医院超声科,青海西宁810001

出　　处：《川北医学院学报》2020年第6期1047-1050,共4页Journal of North Sichuan Medical College

摘　　要：目的:分析肺超声评分对间质性肺疾病患者肺部受累程度的评估价值及相关性。方法:根据CT影像学表现,将70例间质性肺疾病住院治疗患者分为网格影组(n=36)、磨玻璃影组(n=23)和蜂窝影组(n=11)。所有患者均行肺超声、肺功能及CT检查。分析肺超声总评分、胸膜评分、B线评分与肺功能指标[肺总量(TLC)、用力肺活量(FVC)、第1秒用力呼气容量(FEV1)、残气量(RV)、CO弥散量(D LCO)、弥散系数(D LCO/V A)]的相关性及肺超声评分与CT影像学表现的关系。结果:间质性肺疾病患者的肺超声总评分与FVC、FEV1、D LCO和D LCO/V A呈负相关(r s=-0.381、-0.363、-0.570、-0.080,P<0.05);胸膜评分与FVC、FEV1、D LCO和D LCO/V A呈负相关(r s=-0.421、-0.401、-0.563、-0.374,P<0.05);B线评分与FVC、FEV1、TLC、D LCO和D LCO/V A呈负相关(r s=-0.406、-0.328、-0.339、-0.594、-0.434,P<0.05)。网格影组的肺超声评分[(3.57±2.21)分]低于磨玻璃影组[(5.36±1.78)分]和蜂窝影组[(7.57±0.53)分],差异具有统计学意义(P<0.05)。结论:肺超声评分对间质性肺疾病患者肺部受累程度具有一定的评估价值,可客观反映患者的心肺状态,值得临床推广应用。Objective:To analyze the evaluation value and correlation of pulmonary ultrasound score on the degree of pulmonary involvement in patients with interstitial lung disease.Methods:According to CT findings,70 cases patients with interstitial lung disease were divided into three groups:grid shadow group(36 cases),ground glass shadow group(23 cases)and honeycomb shadow group(11 cases).All patients were examined by lung ultrasound,lung function and CT.The correlation between the total score of pulmonary ultrasound,the score of pleura,the score of B-line and the index of pulmonary function[Total lung volume(TLC),forced vital capacity(FVC),forced expiratory capacity in the first second(FEV1),residual volume(RV),CO diffusion capacity(D LCO),diffusion coefficient(D LCO/V A)],and the relationship between the score of pulmonary ultrasound and the performance of CT imaging were observed.Results:The total score of pulmonary ultrasound in patients with interstitial lung disease was negatively correlated with FVC,FEV1,D LCO and D LCO/V A(r s=-0.381,-0.363,-0.570,-0.080,P<0.05).Pleural score was negatively correlated with FVC,FEV1,D LCO and D LCO/V A(r s=-0.421,-0.401,-0.563,-0.374,P<0.05).B-line score was negatively correlated with FVC,FEV1,TLC,D LCO and D LCO/V A(r s=-0.406,-0.328,-0.339,-0.594,-0.434,P<0.05).The score of pulmonary ultrasound in grid shadow group[(3.57±2.21)scores]was significantly lower than that in ground glass shadow group[(5.36±1.78)scores]and honeycomb shadow group[(7.57±0.53)scores],the differences were statistically significant(P<0.05).Conclusion:The pulmonary ultrasound score has a certain evaluation value for the degree of pulmonary involvement in patients with interstitial lung disease,which can objectively reflect the cardiopulmonary state of patients,and it is worth popularizing in clinical application.

关 键 词：间质性肺疾病 肺部受累 肺超声 胸膜评分 B线评分 

分 类 号：R563[医药卫生—呼吸系统]